视听觉和深感觉传导束模型哪里有(高级全功能护理训练模拟人（男性）哪里有) (今日更新中)

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

ESCANABA, Mich. (AP) — A bald eagle launched an aerial assault on a drone operated by the Michigan Department of Environment, Great Lakes, and Energy — which is known as EGLE — ripping off a propeller and sending the aircraft into Lake Michigan. The department says the attack happened July 21, when the drone was mapping shoreline erosion near Escanaba in Michigan’s Upper Peninsula. Drone pilot Hunter King says he had completed about seven minutes of the mapping flight when satellite reception became spotty and the drone began to twirl. King and two birdwatchers saw the eagle flying away, apparently unhurt. Tracking data indicates the drone landed in the lake, about 150 feet offshore. It has not been found. 723

Even as the COVID-19 pandemic rages on and the Trump administration continues to contest the results of the 2020 presidential election, the White House plans to hold its annual turkey pardoning ceremony next week, according to CNN and Fox News.President Donald Trump will reportedly take part in the annual tradition on Tuesday afternoon when he will issue a formal pardon to two Iowa turkeys - Corn and Cob.The public can vote for which turkey they'd like to see President Trump pardon and receive the title National Thanksgiving Turkey.According to The White House's Facebook page, Corn and Cob will stay at The Willard until the annual White House Turkey Pardon on Tuesday.In the past, the Turkey Pardoning Ceremony at the White House has drawn a crowd of spectators at the Rose Garden. It's unclear if the 2020 ceremony will be held in front of spectators.Trump has largely laid low since Election Day. He's held just three on-camera events since Nov. 3, one of which was a Veteran's Day ceremony at Arlington National Cemetery, at which he did not address reporters. According to CNN, outside of playing a few rounds of golf on the weekends, Trump has not left the White House in several weeks.Following Tuesday's ceremony, the turkeys will live out their lives at Iowa State University. Last year, Trump pardoned two turkeys, "Bread" and "Butter," both of whom were sent to live at Virginia Tech following the ceremony.Legend has it that the first president to issue a pardon to a turkey was Abraham Lincoln, who did so at the request of his son. The first recorded pardon of a White House turkey was issued by President John F. Kennedy in 1963.While the Trumps typically spend the Thanksgiving holiday in Florida at their Mar-a-Lago estate, first lady Melania Trump announced this week the family would remain at the White House in 2020. 1852

Federal authorities filed a lawsuit against a New Jersey landlord who allegedly demanded sexual favors from low-income tenants in exchange for housing assistance.On Wednesday, the Department of Justice filed a sexual harassment lawsuit against 73-year-old Joseph Centanni, who owns hundreds of rental units in and around Elizabeth, for "violating the Fair Housing Act by subjecting tenants to sexual harassment" since at least 2005.“The Fair Housing Act protects the right of all persons in our nation to rent a home without suffering sexual exploitation at the hands of abusive landlords. Demanding sexual favors from tenants, especially those who are financially vulnerable, is illegal,” said Assistant Attorney General Eric Dreiband of the Civil Rights Division in a statement. “The Fair Housing Act protects tenants from sexual harassment and retaliation by their landlords, and the Justice Department will hold accountable those who engage in such cruel, depraved, and illegal conduct and will work tirelessly to obtain relief for their victims.”The complaint alleges Centanni demanded that current and prospective tenants provide him with sexual favors in exchange to keep their place or a reduced rate in rent, and threatened to evict anyone who rejected his advances.“No one should ever be forced to provide sexual favors, or otherwise endure sexual harassment, as a condition to keep or obtain housing,” U.S. Attorney Craig Carpenito said in a statement. “Sexual harassment in housing is illegal under the Fair Housing Act, and we will vigorously enforce this federal law to end this depraved type of behavior.”According to the complaint, one victim said she approached Centanni last year because she was having problems paying her rent. He said he'd help her with rental assistance, and she asked what she needed to do in exchange."He then brought her to an empty apartment," the court documents alleged. "There, he asked her for a massage and exposed himself. He then subjected her to unwanted sexual touching by using his hands to move both of hers to touch his testicles and penis as she said words to the effect of 'no' and 'don’t do that.'" Afterward, Centanni helped the woman apply for rental assistance, the lawsuit claims.Another woman said she went to Centanni last year stating she was having problems finding another place to live after agreeing to move out, the lawsuit alleges.The lawsuit states Centanni then took the woman to an empty storage room, after asking the tenant how badly she wanted to stay in her apartment.“There, Centanni exposed himself and asked for oral sex,” federal prosecutors allege. “Because she felt like she had no choice, the tenant submitted to Centanni’s sexual demand. After this incident, Centanni allowed her to stay in her apartment.”According to the complaint, Centanni participates in the federal Housing Choice Voucher Program (also known as “Section 8”) and receives approximately 2,000 each month in federal voucher payments. 2998

ENID, Okla. (AP) — Two U.S. Air Force airmen killed in a training jet crash at Vance Air Force Base in northwestern Oklahoma have been identified as an instructor and a student pilot.The base said Friday that 47-year-old instructor pilot Lt. Col. John “Matt” Kincade and 23-year-old student pilot Lt. Travis Wilkie died in what Col Corey Simmons has called a “mishap” as two T-38 Talon jets were landing at the base in Enid, about 65 miles (105 kilometers) northwest of Oklahoma City.Two airmen aboard the second jet were not injured.RELATED: San Diego mother calls on community to sponsor wreaths honoring veteransKincade, who was assigned to the 5th Flying Training Squadron, is survived by his wife and two sons. Wilkie, a San Diego native who attended La Jolla Country Day School according to the Air Force Academy, is survived by his wife, parents, and sister.In a statement, Wilkie's family said he was a humble man with a huge smile:"Our son Travis was born ready. His intense personal drive to achieve fueled his incredible accomplishments in academics, athletics and most recently, as an Air Force Academy graduate only weeks away from getting his wings. He made everything look effortless yet he invested great effort in everything. He had a huge smile and a humble heart. He was a great brother and great son. And he was deeply in love with his new wife Peyton. We are immensely proud of Travis and will cherish him forever."RELATED: San Diego veteran receives Congressional Gold Medal for WWII serviceSimmons said the cause of the Thursday morning accident is under investigation by an Air Force safety board that functions similarly to the National Transportation Safety Board.Simmons said it typically takes 30-60 days to determine the cause of such accidents."We are a close family," Simmons, 71st Flying Training Wing commander, said. "And when tragedies like this occur, every member of the U.S. military, Vance, Enid, feels it." 1954

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